Please print the appropriate forms, complete, and send or bring by the office before your next office visit.

Pre-Exam Forms

Patient Registration

Health History
Infant Questionnaire
Child Questionnaire

Financial/HIPAA

Vision Therapy Forms
Vision Therapy Fees & Policies
Sport Vision Questionnaire
Quality of Life
Head Trauma / TBI / Stroke Case History
Parent Checklist

Other
Consent for Records Release

Note: All forms are viewed through Acrobat Reader.